| NPI | 1295254589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J ACIERNO Manager 630-339-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019031185) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019029852) |
| 1223G0001X Dentist, General Practice (Licence: IL 019025570) | |
| 1223G0001X Dentist, General Practice (Licence: IL 019026827) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |